2026 NPPES data Specialist NPI 1063788875 MD
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Todd Herman, MD

Specialist in Phoenix, Arizona.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,658 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
MIPS score
77/100
▼ 6 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Todd Herman, MD reported a CMS MIPS final score of 77/100 - below the 83.1 national average.

77/100
MIPS score · -6 vs avg

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Todd Herman, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

77 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about Todd Herman, MD?

Below national average

NPI registry status

Active

Issued 03/26/2012

NPI 1063788875

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

MIPS final score

77/100 6.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Specialist compares to other specialties among Arizona providers

Arizona providers
Pharmacist - 5.6%Pharmacist5.6%Behavior Technician - 5.6%Behavior Technician5.6%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4.2%Physical Therapist4.2%Speech-Language Pathologist - 3.5%Speech-Language Pathologist3.5%Student in an Organized Health Care Education/Training Program - 3.5%Student in an Organized Health Care Education/Training Program3.5%Specialist - 0.8%Specialist0.8%
Largest specialties in Arizona (% of in-state providers)

Medicare quality performance, MIPS

Todd Herman, MD's 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
77/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) - 77/100 vs national avg 83.1

0%100%National avg83%77%
MIPS final score (Specialist) - 77/100 vs national avg 83.1
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Todd Herman, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 18444 N 25TH AVE STE 210, Phoenix, AZ, 85023, with a listed phone of (866) 974-2673. NPI 1063788875 was issued on 03/26/2012.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Specialist providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77/100 for the 2023 performance year (Quality 59.7, Cost 63.7), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

18444 N 25TH AVE STE 210
Phoenix, AZ 85023

Provider Details

NPI 1063788875
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 03/26/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.0139
Final Score
Avg: 83.1
59.6635
Quality
63.716
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Todd Herman, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Center For Orthopedic Research And Education LLC
Sun City, AZ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Specialist Overview

How Todd Herman, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

Nearby Specialist Providers in Arizona

Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Herman.

Compare Specialist nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Arizona medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Todd Herman, MD's specialty?
Todd Herman, MD specializes in Specialist and practices in Phoenix, Arizona. Credentials: MD.
What is Todd Herman, MD's Medicare quality score?
Todd Herman, MD has a CMS MIPS Final Score of 77/100 (Quality: 59.7, Cost: 63.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Todd Herman, MD located?
Todd Herman, MD is located at 18444 N 25TH AVE STE 210, Phoenix, AZ, 85023. Phone: (866) 974-2673.
What is Todd Herman, MD's NPI number?
Todd Herman, MD's National Provider Identifier (NPI) is 1063788875, issued on 03/26/2012.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
Does Todd Herman, MD accept Medicare?
Todd Herman, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Todd Herman, MD's credentials?
Todd Herman, MD's NPI is 1063788875 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.